nomination form - The University of Texas at Austin

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LBJ SCHOOL ALUMNI BOARD OF DIRECTORS
CANDIDATE PROFILE FORM
Name:
Class Year:
Degree:
Address:
Telephone:
Home:
Work:
Cell:
Preferred E-Mail:
Other E-Mail:
PROFESSIONAL EXPERIENCE
Please list current and previous employment. Feel free to attach a resume or CV that includes this information.
Firm/Company/Organization
Position
Dates
Notes or details on any of the above positions
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VOLUNTEER EXPERIENCE ASIDE FROM LBJ SCHOOL ALUMNI RELATED ACTIVITIES
Please list all organizations and activities in which you currently participate and describe those that have pertinence to
this application. Consider civic, cultural, educational, political, professional, etc.
Organization/Activity
Role/Experience
SERVICE TO LBJ SCHOOL AND/OR UT
Please list the ways in which you have served The LBJ School and UT. (Options include, but are not limited to: past
alumni board service, contributor, class or event speaker, career resource for students.)
Service
Dates
PERSONAL STATEMENT
In a cover letter, please explain why you want to serve on the LBJ School Alumni Board. Please identify what you will
bring to the board, as well as what experiences you have that will further the goals and objectives of the Board as set
our purpose, mission and vision statements.
Thank you for taking the time to fill out this Candidate Profile Form. We are grateful for your willingness to serve your
fellow alumni and the LBJ School of Public Affairs. Please return this form along with your cover letter (personal
statement) and any other attachments to:
LBJ School of Alumni Affairs
University of Texas at Austin
P.O. Box Y
Austin, TX 78713
Attn: Michelle Potter-Bacon
lbjalum@austin.utexas.edu
512-232-6141
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